Healthcare Provider Details

I. General information

NPI: 1225220882
Provider Name (Legal Business Name): A & T MEDICAL, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 01/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 E OAKLAND AVE
DOYLESTOWN PA
18901-4651
US

IV. Provider business mailing address

54 E OAKLAND AVE
DOYLESTOWN PA
18901-4651
US

V. Phone/Fax

Practice location:
  • Phone: 215-348-4002
  • Fax: 215-348-4965
Mailing address:
  • Phone: 215-348-4002
  • Fax: 215-348-4965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD012701E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: PETER PIROLLI
Title or Position: ORGANIZATIONAL MANAGER
Credential:
Phone: 215-348-4002